Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $367.57 / $1,345.20	Professional		$258.92	$367.57	$1,345.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $440.15 / $603.62	Professional		$400.13	$440.15	$603.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.13 / $400.13 / $400.13	Facility		$400.13	$400.13	$400.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $400.13 / $664.64	Professional		$256.01	$400.13	$664.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.05 / $319.02 / $528.63	Facility		$198.05	$319.02	$528.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.86 / $464.89 / $773.44	Professional		$324.86	$464.89	$773.44
United Facility/Professional Facility Modifier Low / Median / High Price $464.91 / $464.91 / $3,200.82	Facility		$464.91	$464.91	$3,200.82
United Facility/Professional Professional Modifier Low / Median / High Price $378.18 / $630.00 / $720.00	Professional		$378.18	$630.00	$720.00